| 肩关节镜下Double-pulley双排锚钉技术治疗IdebergⅠ型肩胛盂骨折 |
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投稿时间：2020-09-17
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| 作者 | Author | 单位 | Address | E-Mail |
| 梁潇 |
LIANG Xiao |
湖南省人民医院湖南师范大学附属第一医院关节与运动医学科, 湖南 长沙 410005 |
Department of Joint Surgery and Sports Medicine, Hunan Provincial People's Hospital, the First Affiliated Hospital of Hunan Normal University, Changsha 410005, Hunan, China |
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| 王靖 |
WANG Jing |
湖南省人民医院湖南师范大学附属第一医院关节与运动医学科, 湖南 长沙 410005 |
Department of Joint Surgery and Sports Medicine, Hunan Provincial People's Hospital, the First Affiliated Hospital of Hunan Normal University, Changsha 410005, Hunan, China |
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| 李晓声 |
LI Xiao-sheng |
湖南省人民医院湖南师范大学附属第一医院关节与运动医学科, 湖南 长沙 410005 |
Department of Joint Surgery and Sports Medicine, Hunan Provincial People's Hospital, the First Affiliated Hospital of Hunan Normal University, Changsha 410005, Hunan, China |
lxsld2009@163.com |
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| 期刊信息：《中国骨伤》2020年，第33卷，第12期，第1106-1110页 |
| DOI：10.12200/j.issn.1003-0034.2020.12.005 |
| 基金项目:长沙市科技计划项目（编号：kq1801090） |
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中文摘要:目的：评估肩关节镜下Double-pulley双排锚钉技术治疗IdebergⅠ型肩胛盂骨折的临床疗效。
方法：收集2017年7月至2019年3月收治的8例接受肩关节镜下Double-pulley双排锚钉技术治疗的IdebergⅠ型肩胛盂骨折患者，男7例，女1例；左肩5例，右肩3例；年龄22~56岁，受伤至手术时间3~10 d。术前和术后拍摄肩关节X线片和行CT检查评估骨折严重程度和骨折愈合情况。运动功能评价采用美国肩肘外科（American Shoulder and Elbow Surgeons，ASES）评分和Constant-Murley评分。
结果：所有患者获得随访，时间12~24个月，骨折愈合时间3~5个月。患者均未出现手术部位感染，术后肩关节CT显示骨折复位满意，未出现移位。肩关节运动功能恢复好，术后末次随访ASES评分85~97分，均较术前提高；Constant-Murley评分83~96分，均较术前提高。
结论：肩关节镜下采用Double-pulley双排锚钉技术可以有效固定IdebergⅠ型肩胛盂骨折，对软组织损伤小，关节功能恢复好。 |
| 【关键词】关节镜 肩关节 骨折 |
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| Double-pulley dual-row technique with shoulder arthroscopy for the treatment of Ideberg typeⅠglenoid fracture |
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ABSTRACT Objective: To evaluate clinical effects of Double-pulley dual-row technique with shoulder arthroscopy in treating scapular glenoid fracture(Ideberg typeⅠ).
Methods: From July 2017 to March 2019,8 patiens with scapular glenoid fracture(Ideberg typeⅠ) were treated with Double-pulley dual-row technique with shoulder arthroscopy,including 7 males and 1 female;5 cased of injuries in the left shoulder,3 cased of injuries in the right shoulder;ranging in age from 22 to 56 years old;and the time from injury to operation ranged from 3 to 10 days. X-ray and CT of shoulder joint were taken before and after operation to evaluate the fracture severity and fracture healing. American Shoulder and Elbow Surgeous(ASES) and Constant-Murley scores were used to evaluate shoulder joint function.
Results: All patients were followed up,and the duration ranged from 12 to 24 months,and the fracture healing time ranged from 3 to 5 months. No operative site infection was found in all patients. CT scan of shoulder joint showed satisfactory reduction and no displacement. The shoulder joint function recovered well. ASES score at the latest follow-up after operation ranged from 85 to 97 points,which were higher than those before operation;Constant-Murley score ranged from 83 to 96 points,which were higher than those before operation.
Conclusion: Double-pulley dual-row technique with shoulder arthroscopy is effective to fix scapular glenoid fracture of Ideberg typeⅠwith minimal tissue trauma and significant improvement of shoulder joint function. |
| KEY WORDS Arthroscopes Shoulder joint Fractures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 梁潇,王靖,李晓声.肩关节镜下Double-pulley双排锚钉技术治疗IdebergⅠ型肩胛盂骨折[J].中国骨伤,2020,33(12):1106~1110 |
| 英文格式: | LIANG Xiao,WANG Jing,LI Xiao-sheng.Double-pulley dual-row technique with shoulder arthroscopy for the treatment of Ideberg typeⅠglenoid fracture[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(12):1106~1110 |
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